VICTOR VARGAS
Subscriber on policy B01M000340
Claims
2
Attributed to this person
Charged
592.00
Total submitted
Denied
492.00
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | VICTOR VARGAS |
| Role on the policy | Subscriber |
| Policy | B01M000340 |
| Date of birth | 21 Apr 1951 |
| Plan | BRONZE EPO |
| Covered from | 11 Oct 2024 |
| Covered to | 21 Jun 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001509 | 22 May 2025 | 100.00 | CASCADE CARE | Not denied | — |
| CLM0001508 | 18 May 2025 | 492.00 | CASCADE CARE | CARC 18 · DUPLICATE | 492.00 |